President-elect Trump says his plans for healthcare reform are 'huge'. We weren't sure how that translates into actual policy, so we sat down with several leaders in the healthcare community to ‘read between the lines’ on what his statements and implied policies might mean for our industry and, more specifically, one if it’s most innovative practice models: Direct Primary Care (DPC).
Dr. Ellie Campbell's unconventional approach to medicine has unlocked amazing results for both her patients and her career. Learn how pairing functional medicine with a direct-care practice model helped her reignite a passion for personalized care.
As a leading subject matter expert on the hybrid DPC model, Dr. Lee Gross has led ongoing efforts to educate the broader direct care community about an exceptionally valuable and often misunderstood medical model. To further Best Practice’s mission to bring our readers the most relevant information and facilitate a deeper understanding of an often neglected topic, we asked Dr. Gross to share his knowledge on the what, how, when, why, and who of the hybrid model.
As part of our ongoing Pioneer Series, we spoke with DPC veteran Dr. Lisa Davidson about what makes the Direct Primary Care model so powerful--and how's she used that to her advantage. In our conversation, she explains how she found the right team, established a sustainable load, and became a thought leader in her community.
As a seasoned advocate and DPC practitioner, Dr. Brian Forrest knows all to well the problems that misinformation can create for a movement built almost entirely on word of mouth. In the second installment of our ongoing series, Dr. Forrest provides a healthy dose of reality and debunks the nine most dangerous myths about DPC.
Dr. Michael Keller believes that providing effective primary care requires doctors to eliminate the bureaucratic barriers between themselves and their patients. This belief ultimately led Dr. Keller to open Summit Primary Care, his DPC practice in Denver, where he has taken to sitting at the reception desk so he can greet then treat his patients. In this article, Dr. Keller explains how he discovered DPC, why he fell in love with it, and how he explains to patients why they will love it too.
Dr. Stanford Owen had spent too many long nights calculating the time he spent trying to get paid for the services he provided at his primary care practice. Without a possibility model to guide him, he ultimately decided to abandon insurance completely. This willingness to do differently, to leap when no one else will, characterizes Dr. Owen's philosophy on how physicians can practice medicine and treat chronic illness more effectively.
Nine months before they opened Infinity Family Care, Dr. David Cunningham and Dr. Wendy Cohen took a flight to Kansas City to attend the American Academy of Family Physician's DPC Summit. Unlike so many other gatherings of doctors, the conference energized them, ultimately providing the momentum and drive to leave their large-group practice. In this article, Dr. Cunningham and Dr. Cohen share how they made it through the often overwhelming process that followed their decision to transition to Direct Primary Care, and how you can get through it, too.
Dr. Brian Forrest knows from experience that going it alone under an entirely different medical model is daunting--and completely unnecessary. In part one of an ongoing series, Founder and CEO of Access Healthcare Brian Forrest shares three ways to harness the support of the Direct Primary Care community and take advantage of the valuable resources coming out of a rapidly growing movement.
When is it okay to have a financial relationship with a lab? How does Medicare enrollment affect your relationship? What’s an “anti-kickback” law? In this article, seasoned attorneys Jane Pine Wood and Richard Cooper answer these questions and others to provide DPC practitioners with the tools to build legal and effective relationships with laboratories, even in the midst of increased enforcement of federal regulation.
Practitioners and health care consultants increasingly look for ways to fit direct primary care within a corporate benefit plan. In this article, expert Craig Scurato, an employee health and benefits consultant and founder of Simplifi Benefits, offers his advice and experience on DPC-centric health care plans.
This anonymous account reveals the difficulties of working under the hospital system--and the difficulties of getting out. Names, locations, and other specifics have been changed or removed to protect those involved until their new practice is more established. In the coming year, Hint will release an updated version that will contain Dr. X's identity and other relevant details.
HIPAA impacts direct primary care physicians who are more profoundly and persistently connected with their patients. This article explains the nuts and bolts of that healthcare law, shedding light on: achieving HIPAA compliance, evaluating potential tech company partners for compliance efficacy, and listing why direct primary care physicians need to be particularly vigilant about HIPAA’s enforcement.
In 1970, Marcus Welby, M.D. ranked as the #1 show on television; in 2015, most medical students don't even recognize the main character. Best Practices collaborator Dr. Ken Rictor thinks he knows why. In this week's article, Dr. Rictor tells us why the representation of family practitioners has almost completely vanished from the mainstream, and what the Direct Primary Care movement is doing about it.
While Sarah Monahan's varied contributions to the healthcare industry reveal a lot about her work ethic and long-term commitments, the John Quincy Adam’s quote with which she concludes her personal bio is perhaps even more telling: “If your actions inspire others to dream more, learn more, do more and become more, you are a leader.” This nuanced understanding of what it means to lead manifests in Monahan’s own efforts to foster change within the medical community. As founder and president of DeLacey Solutions, Monahan works with physicians transitioning to Direct Primary Care and Concierge Medicine to help build sustainable practices that center patients and wellness—a project many doctors are unprepared to tackle on their own.
In 2014, Louisiana passed Senate Bill 516, a piece of legislation that fundamentally changed the direct care landscape for providers under its jurisdiction by removing direct primary care from its catergorization as an insurance product. To get more details about the content of the bill and the conditions of its creation, we spoke with Perpetual Health Management’s Chairman and CEO, Dr. Jarrett Flood, and Vice President Kathryn Terrell, both of whom were actively involved in the bill’s passage.
On the homepage of her marketing firm’s website, Nancy Latady makes a powerful claim that speaks to the many practitioners working in a system that they no longer believe in: It can be different.But her message wasn’t some clever marketing ploy; Latady knows from personal experience that possibility models motivate people to make change. In this piece, she shares her best practices for making that change successfully.
When patients shared their initial reactions to the Direct Primary Care model, nearly all of them were concerned about increased financial burden. Further research into membership cost combined with unwavering faith in their doctors commitment to quality care proved the value in staying. In our interviews, patients share their experiences with their primary care physicians before and after the adoption of this new model, and how their perception of DPC has evolved as a result.
In the second post of our series examining the changing landscape of Healthcare Information Technology for Direct Primary Care, we give a detailed overview of the core technologies required to support a successful Direct Primary Care practice.
In the first installment of our brand new Pioneer Series, we spoke with DPC veteran Dr. Steven Horvitz who has run his Direct Primary Care practice, The Institute for Medical Wellness, in Moorestown, New Jersey since 2008. After he told us why he chose DPC, he shared his answer to the tougher question: How do you make your business thrive after making the switch?
“Primary care is one of the most difficult, rewarding fields,” says DPC physician, Dr. David Layne. And he knows this from his own experience. “I went the other night to the hospital to see a woman that has been with me since the old practice. She’s 88-years old and at the end of her life. In her hospital room, the family asked to take a picture of me with my patient as I was comforting her. How many people are going to a take a picture with their dermatologist or colonoscopist on their deathbed?”
Jay Keese, Director of the DPC Coalition, expands on federal and state initiatives in part two of our legislative series. A key component for federal legistlation is to ensure that there is a pathway for Medicare and Medicaid to pay doctors under the Direct Primary Care model. There needs to be a legislative push to allow for patients to pay DPC’s monthly fee in the same way that another payer that is working with an employer or working with a private payer would.
To say that Dr. Lamberts is enthusiastic about providing quality care to his patients would be an understatement. Before I sat down to interview with the Augusta, Georgia based Direct Primary Care doc, I scrolled through his blog and stumbled across this gem: “Yay for boredom! Yay for healthy patients! Yay for a job that doesn’t encourage me to have sick patients!”
After witnessing the degree to which uncertainty plagued patients who were considering modifying their insurance to join his DPC practice, it dawned on Dr. Rictor that the majority of his patient population was suffering from something comparable to Stockholm Syndrome. In this case, patients maintain that they simply cannot abandon their current insurance policies because they have been misled to believe not only in the affordability and efficiency of their captor-- the healthcare system.
Dr. Thomas White runs his direct primary care practice in Cherryville, North Carolina out of the same renovated movie theatre where he watched his first film at the age of six. He’s now in his sixties, and he has a message to deliver to older physicians who have been worn down by the quantity-over-quality medical model: “If it weren’t for Direct Primary Care, my career would be over.”
Despite the passage of legislation in ten states clarifying that Direct Primary Care (DPC) is not insurance, the laws governing DPC practices in many states remain ambiguous. In some states, the laws are downright restrictive, which can mean trouble for DPC providers. Billing in arrears can bypass this.
This article is the first in a series that examines the changing landscape of Healthcare Information Technology for Direct Primary Care. While the HIT sector has in the past been incompatible with the unique demands of running a Direct Primary Care practice, now emerging solutions are changing the landscape. Don’t know AR from PHM? You’ve come to the right place.
Offering discounted medications is a very common service of the direct primary care practice model as it can provide both affordability and convenience to the patient. The benefits for the practitioner are equally noteworthy: Offering medications on site can also potentially give the doctor more insight into his patients while opening a new potential revenue stream for the practice.
While providers are on the front lines of the movement to bring high-quality, accessible, and affordable healthcare to patients with the Direct Primary Care (DPC) model, a man by the name of Jay Keese works tirelessly behind the scenes to help make this possible.
For this piece, we spoke with Keese about what is happening at the state level and how it will affect Direct Primary Care across the United States. Towards the end he shares how providers can get involved in the DPC movement beyond their own practices.
As a modern medicine woman Dr. Julie Gunther stands for something greater than the “7.7 minute office visit” and the “systematized approach” to healthcare we’ve all become accustomed to. For this first "On the Road with DPC" piece, she shares her journey from undergrad at Harvard to opening sparkMD, her very own DPC clinic in downtown Boise, Idaho.